| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
2,586 |
1,925 |
$72K |
| A7030 |
Cpap full face mask |
603 |
455 |
$31K |
| E0601 |
Cont airway pressure device |
1,230 |
953 |
$26K |
| E0431 |
Portable gaseous 02 |
1,996 |
1,454 |
$20K |
| E0562 |
Humidifier heated used w pap |
1,354 |
991 |
$16K |
| A7031 |
Replacement facemask interfa |
591 |
434 |
$13K |
| A7035 |
Pos airway press headgear |
898 |
705 |
$11K |
| A7037 |
Pos airway pressure tubing |
465 |
396 |
$8K |
| A7034 |
Nasal application device |
200 |
163 |
$7K |
| E0570 |
Nebulizer with compression |
655 |
515 |
$5K |
| A7038 |
Pos airway pressure filter |
1,543 |
1,083 |
$5K |
| A4604 |
Tubing with heating element |
309 |
222 |
$2K |
| A7046 |
Repl water chamber, pap dev |
393 |
309 |
$2K |
| K0001 |
Standard wheelchair |
194 |
132 |
$810.63 |